| NPI | 1689716581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH L BERK President 845-634-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 032270) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |